Ingaba isandla sakho sigobile ngaphakathi njengeenzipho? Masithethe 'ngesandla seenzipho'!

Ngaba wakha waziva iiminwe zakho zigobile ngaphakathi, njengeenzipho? Okanye wakha waziva iintlungu okanye ubunzima bokulungisa iminwe yakho? Mhlawumbi unombono othile ngale meko ibizwa ngokuba yi -'claw hand' . Ungakhathazeki, siza kuthetha ngayo ngokweenkcukacha namhlanje. Kuba kwabanye abantu, oku kunokuba yinto abazalwa nayo, ngelixa kwabanye, kunokuvela kamva ebomini ngenxa yengozi okanye esinye isifo.

Yintoni le Ntsika?

Ngamafutshane, isandla se-claw sisifo apho iminwe yakho, ingakumbi iringi kunye neminwe emincinci, igobile ngaphakathi kwaye isandla sakho sitsalwa ngaphakathi. Sibizwa ngokuba sisandla se-claw kuba kubonakala ngathi isandla sakho sibambeke kwisimo se-claw. Oogqirha ngamanye amaxesha babiza oku ngokuthi yi -Ulnar Nerve Palsy . Kule meko, unokufumana kunzima, ukuba akunakwenzeka, ukolula yonke iminwe yakho.

Cinga ngako, kukho izihlunu ezininzi ezincinci ezandleni zethu ezisinceda sigobe kwaye solule iminwe yethu. Ezi zihlunu zisebenza ngemiqondiso yombane, okanye imiyalezo yemithambo-luvo, evela kwingqondo yethu nakwintambo yomqolo. I-Ulnar Nerve yenye yemithambo-luvo ephambili evela ngaphakathi kwesandla sethu, ingakumbi izihlunu ezinxulumene nomnwe weringi kunye nomnwe omncinci, kwaye isinceda sigobe kwaye solule iminwe yethu. Uninzi lwexesha, esi sandla seenzipho senzeka xa kukho into eyonakeleyo kwi-Ulnar Nerve.

Oku kungaba yinto ozalwa nayo (njengomahluko wesandla ozalwa nawo ), okanye kunokubangelwa yingozi, ukugula, okanye umonakalo wemithambo-luvo kamva ebomini.

Yintoni umahluko phakathi kweClaw Hand, iDupuytren's Contracture, kunye neTrigger Finger?

Ngoku usenokuba ucinga, "Kukho ezinye iimeko ezibangela ukuba iminwe igobe kwaye kube nzima ukuyilungisa, ngoko ke yahluke njani le nto?" Ewe, uchanekile. NjengeClaw Hand, iDupuytren's Contracture kunye neTrigger Finger nazo zibangela ubunzima ekulungiseni iminwe. Kodwa izizathu zahlukile. Masibone ukuba ziyintoni na.

• Isandla seClaw: Njengoko besitshilo ngaphambili, oku kudla ngokubangelwa kukonakala kwemithambo-luvo yakho ye-ulnar . Le mithambo-luvo ilawula izihlunu kubhontsi wakho nakumunwe wakho wokukhomba. Ngoko ke xa imithambo-luvo ye-ulnar yonakele, imiqondiso yombane elawulayo yokulungisa iminwe yakho ayiphumi kakuhle. Loo misipha iyabuthathaka, yoyise izihlunu ezisebenza kwelinye icala, nto leyo ebangela ukuba iminwe yakho igobe ngaphakathi.

• Ukuqina kweDupuytren:Le yimeko edla ngokuba yimfuza. Yenzeka xa izicubu ezingaphantsi kwesikhumba sesundu neminwe (ingakumbi i-fascia , isakhiwo esifana nebhendi yerabha esixhasa isandla neminwe kwaye siyincede ishukume) ziqina kwaye ziqine. Amaqhuqhuva amancinci akheka phantsi kwesikhumba sesundu, ngamanye amaxesha enza amaqhuqhuva afana nentambo. Ekuhambeni kwexesha, la maqhuqhuva kunye namaqhuqhuva anokubangela ukuba iminwe igobe ngaphakathi kwaye ibe nde kakhulu ukuba ingaluki. Oku kudla ngokungabi buhlungu, kodwa kunokwenza kube nzima ukusebenzisa isandla.

• Umnwe Wokubangela Ubuhlungu kunye noThupha Wokubangela Ubuhlungu: Ezi meko zibangelwa kukudumba kwemisipha (izicubu eziqinileyo ezidibanisa izihlunu namathambo) esandleni sakho. Xa imisipha yakho ihlala ixinezelekile okanye wenza into efanayo ngokuphindaphindiweyo, inokwenzakala kwaye idumbe. Oku kuvutha kubangela ukuba imisipha ibambeke kwisingxobo esihamba kuso. Oku kunokubangela isandi sokudumba okanye sokudumba xa uzama ukugoba okanye ukolula umnwe wakho. Ngamanye amaxesha, umnwe unokubambelela kwindawo egobileyo okanye ende. Oku kunokuba buhlungu.

Uyayiqonda na umahluko? Umahluko ophambili sisizathu.

Ngubani onokuthi abe neClaw Hand?

Isandla seClaw sinokukhula nakubani na. Nangona kunjalo, uphando lubonise ukuba amadoda anamathuba amancinci okuba nesi sifo kunabafazi. Ngaphandle koko, akukho mahluko mkhulu ngokweminyaka.

Isandla sikaClaw siwuchaphazela njani umzimba wam?

Ungacinga indlela ekunzima ngayo ukungakwazi ukusebenzisa iminwe yakho ngokufanelekileyo. Ingakumbi ukuba awuzalwanga unale meko kwaye ikhula kamva, kuya kuthatha ixesha ukuba uyiqhele.

• Ubunzima bokubamba nokuchukumisa izinto: Oku kunokuchaphazela izinto ezifana nokubamba into encinci, ukubhala into ethile, okanye ukubamba ikomityi.
• Ubunzima bokwenza imisebenzi yemihla ngemihla: Ukuba umsebenzi wakho ufuna ukuba usebenzise izandla zombini, umzekelo, ukubhala kwikhompyutha okanye ukubamba into ethile, le meko inokuphazamisana naloo misebenzi. Ukuba ungumntwana ofundayo, oku kunokuchaphazela nemisebenzi efana nokubhala.

Zithini iimpawu zesandla seenzipho?

Uphawu oluphambili nolucacileyo sisandla esifana neenzipho , oko kuthetha ukuba iminwe igobile ngaphakathi kwaye isihlakala sitsalwa ngaphakathi.

• Ubunzima bokulungisa iminwe: Kunzima kakhulu ukolula iminwe kude nesandla, kwaye ngamanye amaxesha usenokungakwazi nokushukumisa iminwe yakho.
• Kunzima "ukuvula" isandla sakho: Ngokwesiqhelo, sivula isandla sethu siphakathi kwesandla sesandla iminwe yethu isasazeke ngokubanzi, nto leyo enokuba nzima ukuyenza.
• Ukungaziva mnandi okanye ukurhawuzelela:Ukuba unobangela wale meko yesandla seenzipho kukonakala komthambo we-ulnar, usenokuba neemvakalelo zokurhawuzelelwa nokurhawuzelelwa ukusuka engalweni ukuya esihlahleni, kumnwe weringi, nakumunwe omncinci. Ngamanye amaxesha, kusenokungabikho mvakalelo kuloo ndawo.

Zithini izizathu zesandla se-claw?

Kukho izizathu ezininzi ezinokubangela ukuba izandla zibe neenzipho. Makhe sizijonge.

• Ukonakala kwi-Ulnar Nerve okanye kumasebe ayo: Ukwenzakala (okufana nokusikwa, ukukrweleka, okanye ukutsalwa) entanyeni yakho, esifubeni, ekhwapheni, okanye naphi na engalweni yakho kunokonakalisa i-Ulnar Nerve, eqala emacaleni entamo yakho iye engalo yakho iye esihlahleni sakho.
• I-Cubital Tunnel Syndrome: Eyaziwa ngokuba yi -Ulnar Nerve Entrapment, le meko yenzeka xa i-ulnar nerve, edlula kwi-tunnel ngaphakathi kwengqiniba yakho, icinezelwa. Kufana nombhobho wamanzi ovalwayo. Olu xinzelelo luthintela i-ulnar nerve ukuba isebenze kakuhle. Oku kunokubangela ukuba ulawulo lwemisipha esandleni sakho lungasebenzi kakuhle, kwaye unokufumana ukungakhululeki okanye ukurhawuzelelwa kwingalo yakho, esihlahleni, kumnwe weringi, nakumunwe omncinci. Abantu abafaka uxinzelelo oluqhubekayo kwiingqiniba zabo nakwizandla zabo, okanye abenza imisebenzi efuna ukuba bagobe kwaye bolule iingqiniba zabo kunye nezandla zabo (umz., abantu abasebenza kwikhompyutha iingqiniba zabo zigobile ixesha elide, okanye abo badlala imidlalo ethile) banamathuba amaninzi okufumana le meko.
• Umahluko Wesandla Sokuzalwa: Igama elithi "Congenital" lithetha "ukubakho ukususela ekuzalweni." Abanye abantwana bazalwa benomahluko wesandla. Isandla seClaw sinokuba yenye yezi meko zokuzalwa.
• I-Cervical Spondylosis: Ngamafutshane, le yimeko eyenzeka xa ukhula ngenxa yokuguguleka kwamathambo entanyeni yomqolo kunye ne-cartilage ephakathi kwawo. Oku kunokubangela iimpawu ezifana nentlungu yentamo kunye nokuqina. Kwabanye abantu, le meko inokubangela ukusebenza okunciphileyo kwesandla kunye neemeko ezifana nesandla se-claw. Oku kungenxa yokuba imithambo-luvo eya ezandleni iqala entanyeni.
• Izicubu Ezinamanxeba: Izicubu ezinamanxeba ezenzeka emva kokuba ulusu olusesandleni sakho okanye engalweni yakho lupholile, njengokutsha kakhulu, ngamanye amaxesha zinokuba nzima kakhulu. Ezi zicubu zinamanxeba aqinileyo zinokubangela ukuba iminwe yakho itsale ngaphakathi, nto leyo ekhokelela kwisandla esinamanxeba.
• Iintsholongwane: Oku kunqabile kancinci, kodwa ezinye izifo ezichaphazela inkqubo yemithambo-luvo, njengeqhenqa , zinokubangela nesandla seenzipho.

Ifunyanwa njani iClaw Hand?

Ukuba unale mpawu, into yokuqala omawuyenze kukubona ugqirha. Ugqirha uza kukuxilonga.

• Uvavanyo lomzimba:Ugqirha uza kujonga isandla sakho aze ajonge izinto ezifana nokuba ungayigoba kwaye uyilungise iminwe yakho, ukuba ingakanani na, ukuba ivakala kakuhle kangakanani na, nokuba ungayisebenzisa na isandla sakho njengesiqhelo.
• I-Electromyography (EMG): Ukuba ugqirha wakho ukrokrela ukuba unesandla se-claw okanye enye ingxaki yemithambo-luvo, unokuyalela uvavanyo lwe-EMG (Electromyography) . Oku kuquka ukufaka iinaliti ezincinci kakhulu eluswini lwakho ukuya kwimisipha yakho, nokusebenzisa ii-electrodes kwiinaliti ukulinganisa umsebenzi wombane wemisipha yakho njengoko uzishukumisa. Oku kunokunceda ekuqinisekiseni ukuba imithambo-luvo yakho ye-ulnar yonakele, iphi, kwaye inzima kangakanani.

Ukuba umntwana uzelwe enale meko, ugqirha uya kuyixilonga kwangoko nje ukuba umntwana uzelwe.

Indlela yokunyanga isandla sezipho?

Iindaba ezimnandi zezokuba kukho iindlela ezahlukeneyo zokunyanga isandla seenzipho. Uhlobo lonyango olufunayo luya kuxhomekeka kwisizathu kunye nokuba iimpawu zakho zinzima kangakanani.

Oku kulandelayo kungenziwa njengonyango:

• Ukuzilolonga: Ugqirha wakho okanye ingcali yezonyango iza kukufundisa imithambo ethile yokuzolula ingalo yakho, isihlathi, kunye nesandla. Oku kungenziwa ekhaya.
• Ukunxiba i-splint okanye i-brace: I-splint (inkxaso eyenzelwe ukulingana nesimo sesandla) okanye i-brace inganxitywa ukuxhasa umnwe ochaphazelekayo. Oku kunokunceda ukuthintela umnwe ukuba ugobe kwaye uqine ngendlela engaqhelekanga, kwaye kunokunceda ukuba uqonde kancinci kancinci.
• Unyango Lomzimba: Ungafuna unyango kwingcali yonyango lomzimba ukuze uphucule amandla kunye nokuguquguquka kwesandla sakho. Baza kukufundisa imithambo efanelekileyo kunye nonyango.
• Utyando: Kwezinye iimeko, ingakumbi ukuba umthambo uxinyiwe okanye ukuba ezinye iindlela zonyango azincedi, utyando lunokufuneka.
• Amayeza: Ukuba unobangela wesandla seenzipho lusulelo, amayeza anokunikwa ukunyanga usulelo.

Utyando lweZipho zesandla

Ngamanye amaxesha, kunokufuneka utyando ukuze kukhululwe iminwe yakho kwaye kuncitshiswe iimpawu zesandla seenzipho. Kukho iintlobo ezahlukeneyo zotyando:

• Ukulungiswa kwemithambo-luvo: Ukulungisa imithambo-luvo eyonakeleyo.
• Ukukhululwa kweMisipha: Ukukhulula nokukhulula imisipha eqinileyo.
• Ukufakelwa Kwesikhumba: Ukuba izicubu ezibomvu zivele ngenxa yokutsha, ulusu oluqinileyo luyasuswa kwaye ulusu lufakwe kwenye indawo.
• Ukudluliselwa kweTendon:I-tendon esebenzayo idluliselwa kwi-tendon yesihlunu esingasebenzi kakuhle ize inamathele kuyo. Oku kunokubuyisela umsebenzi othile esandleni.

Ugqirha wakho okanye ugqirha uza kukuchazela ukuba loluphi uhlobo lotyando olufunekayo kunye noko ukulindeleyo emva koko.

Kuthatha ixesha elingakanani ukuchacha emva konyango?

Oku kuya kwahluka ngokuxhomekeke kuhlobo lonyango olufumanayo. Ukuba kufuneka unxibe i-splint, kuya kufuneka uyinxibe kangangeenyanga eziliqela. Ukuzilolonga kunye nonyango lomzimba ziindlela zonyango ezithatha ixesha elide. Ngamanye amaxesha kungathatha unyaka okanye ngaphezulu ukuze uphile ngokupheleleyo.

Ukuba utyando lokulungisa isandla sakho seenzipho, ugqirha wakho uza kukuxelela ngexesha lokuchacha. Uninzi lwabantu luya kufuna iinyanga ezininzi ukuze luchache emva kotyando. Emva koko uya kufuna unyango lomzimba ukuze ufumane amandla esandleni sakho. Nangona kunjalo, ukuba unobangela kukonakala okukhulu kwi-ulnar nerve, unokuba neempawu zemithambo-luvo ezihlala ixesha elide (ezifana nokungaziva okanye ukuphelelwa zimvakalelo).

Ngaba le meko ingathintelwa?

Uninzi lwezizathu zezandla ezibangela uzipho, ingakumbi ukuba uzelwe nazo, kunzima ukuzithintela.

Nangona kunjalo, ungenza ezi zinto ukuthintela umonakalo kwi-ulnar nerve kunye neemeko ezifana ne-cubital tunnel syndrome:

• Kuphephe ukuxhoma ngeengqiniba zakho: Abantu abaninzi baxhoma ngeengqiniba zabo xa besebenza edesikeni okanye bebukele iTV. Oku kunokubangela uxinzelelo kwimithambo-luvo ye-ulnar.
• Kuphephe ukufaka uxinzelelo ngaphakathi kwesandla sakho.
• Ukuba usebenzisa isitulo sekhompyutha rhoqo, musa ukuxhoma iingqiniba zakho kwiindawo zokubeka iingalo. Gcina isitulo siphakanyisiwe.
• Zama ukulala iingqiniba zakho zithe tye. Abanye abantu balala iingqiniba zabo zigobile, nto leyo engalunganga.
• Kuphephe ukusebenzisa izandla zakho neengqiniba zakho ngokugqithisileyo. Thatha ikhefu elifutshane xa usebenza kwindawo enye ixesha elide.
• Nika umzimba wakho ikhefu emva kokusebenza nzima.

Ndimele ndilindele ntoni ukuba ndinesandla esinozipho?

Isandla esinozipho yimeko ehlala ixazululeka okwethutyana, kodwa inokuba yingxaki yexesha elide. Ukuba ikuchaphazela ixesha elide kangakanani kuxhomekeke kwisizathu kunye nendlela iminwe yakho nesandla sakho esisabela ngayo kunyango.

Abanye abantu bayaphila ngokupheleleyo ngokufakelwa i-brace kunye nonyango lomzimba. Abanye basenokuba nokungasebenzi kakuhle emva kotyando. Buza ugqirha wakho okanye ugqirha wakho malunga nokuba ungalindela ukuchacha okungakanani ngokusekelwe kwimeko yakho.

Ngaba andizukukwazi ukuya emsebenzini okanye esikolweni ngenxa yesandla esibuhlungu?

Ukuba unomsebenzi osebenzisa izandla zakho, okanye ukuba usebenzisa yonke iminwe yakho emsebenzini wesikolo, usenokungakwazi ukuya emsebenzini okanye esikolweni ude uphile. Buza ugqirha wakho ukuba zeziphi iintlobo zemisebenzi onokuzenza ngeminwe yakho echaphazelekileyo kunye noncedo onokulufumana.

Ndingazinyamekela njani?

• Ukuba unikwe i-splint okanye i-brace, qiniseka ukuba uyinxiba njengoko ugqirha wakho eyalele kwaye ixesha elide njengoko uxelelwe.
• Kwakhona, ukuba usebenza nogqirha wezonyango, yenza imithambo akufundisa yona rhoqo kangangoko, kwaye uyenze ngokuchanekileyo.
• Ukuba iimpawu zakho ziya zisiba mandundu, okanye ukuba ufumana iintlungu ezinganyamezelekiyo, xelela ugqirha wakho ngoko nangoko.

Ndifanele ndimbone nini ugqirha?

Ukuba ubona naluphi na utshintsho esandleni sakho okanye kwiminwe yakho (ezifana neentlungu, ukuqina, ukuba ndindisholo) olungaphucukiyo kwiintsuku ezimbalwa, bona ugqirha ngokukhawuleza. Okukhona uqala unyango ngokukhawuleza, kokukhona amathuba akho okuphila ngcono.

Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?

Ukuba unesiganeko esibuhlungu , njengokuwa okanye ingozi yemoto, okanye ukuba unenye yezi mpawu, yiya kwigumbi likaxakeka ngokukhawuleza:

• Ukuba awukwazi ukushukuma okanye ukusebenzisa isandla sakho ngokuqhelekileyo.
• Ukuba ulahlekelwa yimvakalelo esandleni sakho okanye ebunzini.
• Ucinga ukuba unethambo elaphukileyo.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa ubona ugqirha, ungalibali ukubuza imibuzo efana nale:

• Ngaba ndinesandla seenzipho, okanye yenye imeko?
• Luhlobo luni lonyango endiludingayo?
• Ngaba ndiza kufuna utyando?
• Kuza kufuneka ndinxibe i-brace okanye ndiye kwi-physiotherapy ixesha elingakanani?
• Kuza kuthatha ixesha elingakanani ukuchacha ngokupheleleyo?
• Ngaba le meko ingaphinda yenzeke?

Nantoni na ekwenza ungakwazi ukusebenzisa isandla sakho ngokuqhelekileyo inokuba yinto eyoyikisayo nebangela uxinezeleko. Isandla seClaw sinokuba nezizathu ezininzi. Ngoko ke bonana nogqirha kwangoko xa ubona naluphi na utshintsho kwiminwe yakho, esandleni, okanye engalweni.

Umyalezo Wokugqibela Wokuya Ekhaya

Isandla sikaClaw sithatha ixesha ukuphola. Ngoko ke yiba nomonde, ulandele unyango ngokufanelekileyo, kwaye wonwabe ngayo nayiphi na inkqubela oyenzayo. Awuwedwa, kwaye kukho oogqirha kunye neengcali zonyango abanokukunceda. Kubaluleke kakhulu ukulandela iingcebiso zabo. Ukuba ubona naluphi na utshintsho esandleni sakho, ungalutyesheli. Ukufuna iingcebiso zonyango ngokukhawuleza kuya kukunceda kakhulu ekupholeni ngokukhawuleza.

Isandla sikazipho , umthambo we-ulnar, ukujijeka kweminwe, iintlungu zesandla, iingxaki zemithambo-luvo, ukungaziva sandla